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Individual

MS. NANCY MARIE WINSLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA SLP

Contact information

Practice address
340 N MOUNT VERNON AVE, PRESCOTT, AZ 86301
(928) 776-4349
(928) 776-1369
Mailing address
6280 JESTER CIRCLE NORTH, PRESCOTT VALLEY, AZ 86314
(928) 717-1131

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL1362
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
994104
AHCCCS
AZ
Enumeration date
05/09/2007
Last updated
07/08/2007
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